From the Chiefs: Residency Deadlines
To help consolidate many of the important residency deadlines and dates, the chiefs and PMs have created a new addition to the weekly update and main page. Please refer to the following spreadsheet each week to make sure you’re compliant with all residency/NYP logistics. FYI: while we will do our best to keep this spreadsheet up to date, it is not a substitute for checking NYP email daily. And if you see something important missing from this list, please let us know!
From Anna Cardinale: CLABSI Survey
At the request of our campuses’ Ops teams, please respond to the following NYP survey:
Who is this message for: All Residents across the NYP Enterprise directly involved in supervising, inserting, and/or maintaining central lines in adult patients.
What is this message about: At NYP we are working hard to reduce Central Line Associated Blood Stream Infections (CLABSIs). The below survey will enable us to evaluate the current state and identify areas for improvement.
The survey is voluntary and will take approximately 5-10 minutes. If you have not had a chance to complete the survey, please do so by February 26, 2021. After completing the survey, you will receive a link to enter into the raffle. For each week during the survey period we will select a random winner to receive a $50 gift card.
Survey Link Below:
From Dr. Betty Chang: Peripheral Norepi, RAPID Outpatient MRI, and FYI’s
1) Peripheral norepinephrine approved by Medical Board : GO LIVE, March 8th. Please refer to handout from Dr. Chang’s email.
Max 72 hr. Max dose 15mcg/min. Use at 20G or larger. Have another IV access as back-up. Use the 4mg/250ml concentration.
2) We have collaborated with Radiology and Neurology to arrange outpatient MRI on ED patients who do not need emergent MRI. They usually get a MRI appt within one week’s time and sometimes in a day or two.
Get Neurology consult involved. They will identify patients who meet criteria. Unfortunately, at this time, patients will need to have insurance. Neurology will arrange outpatient Neuro follow up.
ED will consult CM/SW and Navigators – CM/SW will confirm pt info, address the MRI appointment with Call Center, Call Center to work on pre-authorization, and navigators (Gabriela Reda & Luisa Santos, the navigator supervisors) to work on follow up with PMD.
3) Patient with ESRD on Dialysis, who missed dialysis. We hope to mitigate any issues that caused the patients to come to ED for missed dialysis. PLEASE get SW/CM involved upon patient arrival. You can easily find them via group secure chat “CUIMC ED SW& Care Mgr Consult”
4) Watch out for FYI’s!
Please note that there is a little flag that shows up by patient’s name that acts as an alert for clinical staff. It often contains very important information that is relevant from prior visits (ie. staff safety, violence, etc.)
From Dr. Nick Gavin: Sedation Options at Columbia
As of Monday, February 22, fentanyl and midazolam drips will be available for post-intubation sedation. Please consider prioritizing these medications over precedex in the appropriate patient population going forward.
From Drs. Emmagene Worley and Peter Wyer: EBM Survey
MCB Message of the Month
CUIMC Emergency Attending
WCMC Emergency Attending
Shout out to Dr. Freedman for his palpable desire to learn and improve. He is always asking for feedback and finding ways to improve his skills. Dr. Freedman takes complete ownership of his patients and ensures they get the care they need. He is also a Scanimal. Outstanding work, Dr. Freedman!